Document Detail

Acute myocardial infarction after capecitabine treatment: not always vasospasm is responsible.
MedLine Citation:
PMID:  22964337     Owner:  NLM     Status:  MEDLINE    
Capecitabine is an orally available chemotherapeutic agent that is converted to 5-fluorouracil (5-FU) after absorbtion. Capecitabine and its active metabolite, 5-FU, have cardiotoxic effects with reported instances of acute coronary syndromes caused due to coronary vasospasm. However, these agents exert toxic effects on cardiovascular system and beyond vasospasm provacation. We report a 46-year-old patient diagnosed as acute inferior infarction who is treated with capecitabine for 3 months due to metastatic breast carcinoma, in whom thrombotic coronary occlusion was observed in angiography. This case demonstrates that apart from vasospasm, coronary thrombosis could be observed after capecitabine treatment, with a possible direct effect of this drug.
Tolga Sinan Güvenç; Emel Celiker; Kazim Serhan Ozcan; Erkan Ilhan; Mehmet Eren
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  125     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-11     Completed Date:  2013-02-13     Revised Date:  2013-05-28    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  3349-51     Citation Subset:  IM    
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey.
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MeSH Terms
Coronary Thrombosis / chemically induced
Coronary Vasospasm / chemically induced*
Deoxycytidine / adverse effects,  analogs & derivatives*,  therapeutic use
Fluorouracil / adverse effects,  analogs & derivatives*,  therapeutic use
Middle Aged
Myocardial Infarction / chemically induced*
Reg. No./Substance:
51-21-8/Fluorouracil; 6804DJ8Z9U/capecitabine; 951-77-9/Deoxycytidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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